Chofunika kwambiri ndi chakuti chiwerengero cha kubereka msanga msinkhu chikudalira mwachindunji dziko, potsatira ndondomeko yomwe boma likuchita pokhudzana ndi kuthandizira kubereka ndi kuchepetsa chiwerengero cha kubadwa msinkhu, komanso propaganda ku dziko la OP, masewera ndi kukana mowa ndi fodya.
Chofunika kwambiri ndi chikhalidwe cha chilengedwe ndi chilengedwe chimene mayi am'tsogolo amakhala, kukanikizika kwake ndi zakudya zabwino, osati pokhapokha panthawi yomwe ali ndi mimba, komanso pambuyo pobereka. Kodi chibadwire chisanachitike ndi chiani chomwe chinachitika pa nthawi ya masabata 28-37? Ndipo kubadwa komwe kunachitika masabata makumi asanu ndi awiri oyambirira a mimba, kutchedwa kupititsa padera kwadzidzidzi.
Njira yaikulu yothetsera mimba ndi bungwe ndi nthawi ya masabata 34 mpaka 37, ndipo nthawi yoyamba, mwayiwu ndi wochepa kwambiri.
Mmene mungapewere
Mimba ndi gawo lofunika komanso loyenera kwa mayi wopatsa moyo. Mayi ndi abambo amtsogolo ayenera kukambirana momwe banja likukonzekera sitepe yofunikirayi, kodi ndi okonzeka kupereka nthawi ndi mphamvu zawo kwa mwanayo? Ngati yankho liri lothandiza ndipo makolo ndi mtima wonse amafuna kuti abwezeretsedwe m'banja, ndiye kuti muyenera kukonzekera kuti mukhale ndi pakati.
Chimene muyenera kuchita musanayambe kutenga pakati:
- Pitani kwa dokotala wodziwa za matenda a amayi ndipo muyesetse kafukufuku wathunthu wa mankhwala, pangani pang'ono phulusa ultrasound.
- Kuti muphunzire mbiri yanu ya mahomoni, kuti muwulule mlingo wa androgens ndi estrogens. Ngati kusokonezeka kwa mahomoni kumakhala kovuta, muyenera kulankhulana ndi a endocrinologist.
- Lembani kafukufuku wathunthu kwa madokotala onse ndipo, ngati mwadziwidwa ndi mavairasi, muzitsatira mankhwala oyenera.
- Ngati m'mimba yapitayi amayi amatha kukhala ndi vuto lachilendo (ICI), ndiye kuti pakufunika kufufuza, kuzindikira zomwe zimayambitsa ndi kuzichotsa.
- Muyenera kuzindikira Rh yanu. Ngati kulibe kusowa kwake, ndikofunikira kusunga mimba yoyamba. Ngati izi sizingatheke pazifukwa zina, ndiye kuti atachotsa mimba kapena opaleshoni kuti asokoneze ectopic pregnancy mkati mwa maola 48 mutatha njirayi, m'pofunikira kufotokoza immunoglobulin antiresusive. Zomwezo ziyenera kuchitidwa ngati mayi ali ndi kachilombo kolakwika Rh anabereka mwana wokhala ndi Rh factor.
- Dziwani ndikuyamba mankhwala a matenda a mano, shuga, matenda a chithokomiro, impso, chiwindi.
- Ngati chiberekero chimachitika ndi IVF (mu vitro feteleza), kukhala ndi mimba yambiri kumakhala kotsika, komwe kumayambitsa matenda a chiberekero, zomwe zingachititse kulephera kwa NI.
M'madera ena akunja, musanayambe njira ya IVF, wodwalayo, pambuyo pake, amagwiritsidwa ntchito kuti athetse chiopsezo cha kubadwa msanga. Ku Russia, sutures imagwiritsidwa ntchito pa mankhwala okha, ngati ultrasound imawulula zizindikiro za ICI.
Panthawi yonse ya mimba:
- Mayi wamtsogolo akufunikira kuyang'anitsitsa nthawi zonse kuchokera kwa wodwalayo.
- Ngati mayiyo ali ndi matenda enaake, ndiye kuti mukuyenera kuyesedwa ndi wodwalayo ndikutsatira ndondomeko yake.
- Azimayi omwe ali ndi "magazi" osayenerera kapena akudandaula ndi mkangano wa Rhesus ayenera kuyang'aniridwa mwezi uliwonse kuti azikhala ndi pakati, nthawi zonse kuti apitirize kutenga pakati, komanso kuti apange ultrasound kuti azindikire matenda a chiberekero, kuyambira pa sabata la 20 la mimba.
- Ngati pali nthenda yaikulu ya kugwera kwa gulu la ziopsezo za kuphulika kwa NIH, ndiye kuti ultrasound iwiri iyenera kuchitidwa pofuna kuchepetsa kuchepa kwa chiberekero. Choyamba chikuchitika pa nthawi ya masabata 14-18, yachiwiri - masabata 19-24.
Ngati mayi ali ndi ICI, njira zotsatirazi zikuchitidwa:
- Mabokosi amaikidwa pachibelekero, kuchotsedwa kumene kumachitika nthawi yomweyo asanabadwe. Mankhwalawa amagwiritsidwa ntchito m'njira ziwiri: kupuma kwapadera - kupyolera mu mimba, kudzera m'mimba.
- Kuwombera pessary, kutenganso kachilombo ka fetus, komwe kumathandiza kuti chiberekero chifike. Pessary imapangidwa ndi polyethylene, ndi yotsegula pakati imatseka chiberekero cha pakhosi.
Kuwonjezera pa zonse zomwe tawalemba pamwambapa, kukhala ndi chiyembekezo chokhazikika, kutentha komanso kukhutira mu banja n'kofunikira. Amayi samakhala osokonezeka, akukumana ndi zovuta. Musalole kuti maganizo okhumudwitsa asokoneze chimwemwe cha kuyembekezera kwa mwanayo.
Osati kubala mkazi sayenera kuchita mantha ndi "nkhani zoopsya" za mtundu wa zovuta zobadwa zomwe ena a iwo anali nazo. Chilichonse chiri chosiyana, chosiyana. Kuberekera kwa munthu wina kumachitika kawiri, ndipo wina amakhala ndi nthawi yovuta. Ngakhale amayi omwe akubereka akhoza kuopseza "watsopano" pankhaniyi, choncho musayime ndi anthu oterowo, asiye kukambirana. Musangowononga maganizo anu a psyche pa masamba a intaneti ndi zoopsa zofufuza ndi mavidiyo. Pankhani ya matenda simukuyenera kudzipangitsa nokha ndikudziwopsyeza nokha ndi bambo wa mwanayo, mumangopita kwa dokotala. Ndikofunika kwambiri kudya panthawi ya mimba. Ndikoyenera kusiya obkolbas, sausages, zosiyanasiyana mankhwala osachepera, pali zakudya zambiri za mkaka, ufiti nthawi ya mimba pamsana umayika katundu wolemetsa.
Ndipo chinthu china chowonjezera. Akazi panthawi yomwe ali ndi mimba osasowa thandizo ndi chisamaliro, chidwi ndi thandizo kuchokera kwa anthu apamtima. Mwamuna ayenera kukhala ndi mkazi wake wokhala ndi pakati, kulankhula naye, kuthandizira, kuyankhulana, kulankhula ndi kumvetsera kumimba. Izi zimapereka chisangalalo chosangalatsa kwa makolo amtsogolo.